Individual
CALVIN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
723 SARAVALLE DR, SAINT PETERS, MO 63376-8214
(636) 697-6969
Mailing address
723 SARAVALLE DR, SAINT PETERS, MO 63376-8214
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2022004159
MO
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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